407例脑瘫患儿的临床资料分析

Analyzing Clinical Data on Cerebral Palsy Children of 407 Cases

目的:分析脑瘫的病因及相关因素,为防治脑瘫提供参考.方法:对2年间住院的脑瘫病人的病因、就诊年龄等情况进行回顾性分析.结果:脑瘫病因中窒息占46％,早产占30％,其它病因均较少.本组病人中近3/4智力异常.59％病人来自农村,只有12％的病人在1岁内就诊.头颅CT的阳性率为82.5％,脑电图阳性率仅50％.结论:为减少脑瘫的发病率,防止窒息产生的严重后果,应推广新生儿新法复苏.提高脑瘫的治愈率,应建立高危儿脑损伤筛查网,以便尽早发现,及时治疗.

Objective: To analyze the reasons for CP and the related factors, so as to provide reference for preventing and treating CP. Methods: To retrospectively study and analyze the disease reason, the age of the hospitalized CP patients in the past two years. Results: Among the reasons of CP, asphyxia occupied 46%, premature occupied 30%, and other reasons were less. Among the group,nearly 3/4 were intelligence abnormal, 59% of them came from the countryside, and only 12% go for medical advice in one year-old. The positive rate of head CT was 82.5%, and EEG was only 50%. Conclusions: New method of resuscitation for newborn infant should be popularized to prevent asphyxia emergence and reduce the incidence. Inspection net of brain hurt for high dangerous infants should be established to increase the cure rate for CP, so CP could be detected earlier and treated in time.